NPI | 1558766790 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2014-10-30 |
Last Update Date | 2018-02-14 |